杨秋菊

【摘要】 目的：研究持续改进健康教育对脑梗死康复期患者积极消极情绪及生存状态的影响。方法：选取2016年2月-2017年11月本院收治的脑梗死康复期患者62例为研究对象，按照随机数字表法将其分为对照组和观察组，各31例。对照组进行常规健康教育，观察组在此基础上进行持续改进健康教育，比较两组干预前后的积极消极情绪、SAS和SDS、生存质量评分。结果：干预前两组积极消极情绪、SAS和SDS、生存质量评分比较，差异均无统计学意义（P>0.05）；干预后两组各项评分均持续改善，且观察组均优于对照组，差异均有统计学意义（P<0.05）。结论：持续改进健康教育對脑梗死康复期患者积极消极情绪及生存状态的改善作用较好，临床应用价值较高。

【关键词】 持续改进健康教育； 脑梗死康复期； 积极消极情绪； 生存状态

【Abstract】 Objective：To study the influence of continuous improvement health education on positive and negative emotions and survival state of patients with cerebral infarction in convalescent stage.Method：A total of 62 patients with cerebral infarction in convalescent stage in our hospital from February 2016 to November 2017 were selected as the study objects.According to the random number table method，they were divided into control group and observation group，31 cases in each group.The control group was received routine health education，the observation group was received continuous improvement health education on this basis.The positive and negative emotions，SAS ad SDS and quality of life scores before and after intervention were compared between the two groups.Result：Before intervention，there were no significant differences in positive and negative emotions，SAS ad SDS and quality of life scores between the two groups （P>0.05）.After intervention，the scores of the two groups improved continuously，and the observation group were all better than those of the control group，the differences were statistically significant （P<0.05）.Conclusion：The improvement role of continuous improvement health education for the positive and negative emotion and survival state of patients with cerebral infarction in convalescent stage is better，and its clinical application value is higher.

【Key words】 Continuous improvement health education； Cerebral infarction in convalescent stage； Positive and negative emotion； Survival state

First-authors address：Zhongshan Xiaolan Peoples Hospital，Zhongshan 528415，China

doi：10.3969/j.issn.1674-4985.2018.24.038

脑梗死是临床发病率极高的一类疾病，而本病患者早期急性期后仍需面临较长时间的康复治疗，而此阶段对患者的各方面影响较大，包括对心理情绪及生理等多方面均造成不适感，同时长期持续的锻炼及治疗对患者的治疗信心造成危害，因此不利于后期的治疗[1-2]。健康教育作为提升患者治疗认知度的有效方式，其对患者的治疗态度等多方面也有一定影响[3]。本文中笔者就持续改进健康教育对脑梗死康复期患者积极消极情绪及生存状态的影响进行研究，现将研究结果报道如下。

1 资料与方法

1.1 一般资料 选取2016年2月-2017年11月本院收治的脑梗死康复期患者62例为研究对象，纳入标准：年龄20～75岁；病程≥1个月；脑梗死康复期。排除标准：合并糖尿病、慢阻肺等基础疾病；肝、肾功能不全；合……